Deornellas, Kathy
Deornellas, Kathy is an sole proprietor health care provider with primary practice located at 927 N Locust St , Denton TX 76201-2953. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Deornellas, Kathy can be contacted via phone (940) 230-6486.Contact Information
Primary practice address
927 N Locust St
Denton TX 76201-2953
Phone: (940) 230-6486
Fax: (940) 535-1405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 31293 | Texas |
Profile Details
| NPI number | 1215966866 |
|---|---|
| LBN Legal business name | Deornellas, Kathy |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Aug 11th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215966866 | NPPES |
| Texas | MEDICAID | 026701502 |
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